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. 2022 Mar 18;5(3):e223058. doi: 10.1001/jamanetworkopen.2022.3058

Table 2. Use of Outpatient and Primary Care Services, Emergency Departments, and Hospitalizations During Months 3 to 12 Post Partum Among Individuals with Medicaid-Financed Births Continuously Enrolled in Medicaid vs Commercial Insurancea.

Variable Medicaid enrollment Commercial enrollment Unadjusted difference (95% CI) Adjusted difference (95% CI)b
No. of births 42 989 1482 NA NA
Patients with any health care use, No. (%)
Outpatient visits 31 683 (73.7) 1175 (79.3) 5.65 (3.54 to 7.76) 7.12 (6.39 to 7.84)
Primary care visits 4944 (11.5) 218 (14.7) 3.20 (1.38 to 5.03) 2.46 (2.12 to 2.79)
ED visits 12 080 (28.1) 298 (20.1) −8.00 (−10.09 to −5.92) −7.92 (−8.44 to −7.40)
Hospitalizations 731 (1.7) 12 (0.8) −0.91 (−1.38 to −0.43) −0.48 (−0.51 to −0.45)
Mean health care use, No.
Outpatient visits 6.65 6.50 −0.15 (−0.59 to 0.29) 0.16 (0.10 to 0.22)
Primary care visits 0.18 0.32 0.14 (0.07 to 0.21) 0.81 (0.70 to 0.92)
ED visits 0.59 0.40 −0.19 (−0.25 to −0.13) −0.14 (−0.24 to −0.04)
Hospitalizations 0.02 0.01 −0.01 (−0.01 to −0.00) −0.40 (−0.91 to 0.10)
Mean total spending per person, $
Total costs 4207 4715 508 (−133 to 1149) 1110 (509 to 1710)
Outpatient visits 1952 2206 254 (−127 to 634) 360 (21 to 699)
Primary care visits 40 61 21 (3 to 45) 29 (7 to 51)
ED visits 1433 2137 704 (255 to 1154) 1086 (805 to 1367)
Hospitalizations 710 300 −410 (−606 to −215) −309 (−638 to 19)
Mean out-of-pocket spending per person, $
Total out-of-pocket 18 801 783 (620 to 946) 796 (754 to 838)
Outpatient visits 8 370 361 (270 to 452) 362 (341 to 383)
Primary care visits 0.12 5 5 (3 to 8) 5 (5 to 6)
ED visits 6 381 375 (259 to 492) 387 (359 to 415)
Hospitalizations 4 36 32 (−30 to 95) 34 (15 to 54)

Abbreviation: ED, emergency department.

a

Spending is measured in 2020 US dollars, inflated using the medical care services component of the consumer price index. Health care use variables are measured as a binary outcome for any visit of that type during the 3 to 12 months post partum and in counts (at the visit level). Spending measures (total and out of pocket) are reported as unconditional per person averages during the 3- to 12-month period. Sample is trimmed with the top 1% of individuals with the highest levels of billed spending removed. Billed spending measures the sum of insurer and consumer payments.

b

The adjusted differences column reports regression-adjusted coefficients and 95% confidence intervals for each variable. Each coefficient is the estimated coefficient on the treatment dummy (where 1 = continuously enrolled in commercial; 0 = continuously enrolled in Medicaid). Regression covariates include all covariates in Table 1 and year fixed effects. Models are estimated using Newton-Raphson methods (using the glm command in Stata [StataCorp]) with a logit link for use likelihood, a negative binomial distribution, and a log link for use outcomes and a gaussian distribution for spending outcomes.